Provider Demographics
NPI:1134371537
Name:NGUYEN, JOSEPH QUYET (OD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:QUYET
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10603 FUQUA ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2630
Mailing Address - Country:US
Mailing Address - Phone:713-947-8718
Mailing Address - Fax:
Practice Address - Street 1:1930 PEARLAND PKWY STE 160
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5379
Practice Address - Country:US
Practice Address - Phone:713-947-8738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5149TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0932741-01Medicaid
TX00E504Medicare Oscar/Certification
TX0932741-01Medicaid